N-oxide anthranylamide derivatives and their use as medicaments

ABSTRACT

Substituted N-oxidanthranilamide derivatives, their production and use as pharmaceutical agents for treating diseases that are triggered by persistent angiogenesis are described. The compounds according to the invention can be used as or in the case of psoriasis, Kaposi&#39;s sarcoma, restenosis, endometriosis, Crohn&#39;s disease, Hodgkin&#39;s disease, leukemia; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, and inhibition of the reocclusion of vessels after balloon catheter treatment, in vascular prosthetics or after mechanical devices are used to keep vessels open, such as, e.g., stents, as immunosuppressive agents, as a support in scar-free healing, senile keratosis and contact dermatitis. The compounds according to the invention can also be used as VEGFR- 3  inhibitors in the case of lymphangiogenesis.

The invention relates to substituted N-oxidanthranilamide derivatives, their production and use as pharmaceutical agents for treating diseases that are triggered by persistent angiogenesis.

Persistent angiogenesis can be the cause of various diseases, such as psoriasis; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases and arteriosclerosis or can result in an aggravation of these diseases.

Persistent angiogenesis is induced by the factor VEGF via its receptor. So that VEGF can exert this action, it is necessary that VEGF bind to the receptor, and a tyrosine phosphorylation is induced.

Direct or indirect inhibition of the VEGF receptor (VEGF vascular endothelial growth factor) can be used for treating such diseases and other VEGF-induced pathological angiogenesis and vascular permeable conditions, such as tumor vascularization. For example, it is known that the growth of tumors can be inhibited by soluble receptors and antibodies against VEGF.

Anthranilic acid amides that are used as pharmaceutical agents for treating psoriasis; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, and for inhibiting the reocclusion of vessels after balloon catheter treatment, in vascular prosthetics or after mechanical devices are used to keep vessels open, such as, e.g., stents, are known from WO 00/27819.

The known compounds are generally effective in the indications cited, but their effectiveness generally accompanies inhibitory potential compared to metabolizing enzymes of the liver (Cytochrome P 450 isoenzymes). This involves the danger of undesirable pharmaceutical agent interactions and thus produces an inferior compatibility of the medication.

There is therefore a desire, on the one hand, for more effective compounds, and, on the other hand, for more toxicologically harmless compounds, which, moreover, should also be more compatible.

It has now been found that compounds of general formula I

in which

-   -   A stands for the group —N(R⁷)—,     -   W stands for oxygen, sulfur, two hydrogen atoms or the group         —N(R⁸)—,     -   Z stands for a bond, the group —N(R¹⁰)—or ═N—, for branched or         unbranched C₁-C₁₂-alkyl or for the group     -   m, n and o stand for 0-3,     -   R_(a), R_(b), R_(e), R_(d), R_(e), R_(f), independently of one         another, stand for hydrogen, fluorine, C₁-C₄-alkyl or the group         —N(R¹¹)—, and/or R_(a) and/or R_(b) can form a bond with R_(c)         and/or R_(d) or R_(e) can form a bond with R_(e) and/or R_(f),         or up to two of radicals R_(a)-R_(f) can close a bridge with up         to 3 C atoms each to form R¹ or to form R⁷,     -   X stands for C₁-C₆-alkyl,     -   R¹ stands for branched or unbranched C₁-C₁₂-alkyl or         C₂-C₁₂-alkenyl that is optionally substituted in one or more         places in the same way or differently with halogen, hydroxy,         cyano, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the         group —NR²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl         that is optionally substituted in one or more places in the same         way or differently with halogen, hydroxy, cyano, C₁-C₆-alkyloxy,         C₁-C₆-alkyl and/or with the group —NR²R³; or for aryl or hetaryl         that is optionally substituted in one or more places in the same         way or differently with halogen, hydroxy, cyano,         cyano-C₁-C₆-alkyl, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl,         halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or —R¹⁴,     -   R² stands for unsubstituted hetaryl or for hetaryl that is         optionally substituted in one or more places in the same way or         differently with cyano, halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl,         C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or         —R¹⁹, and said hetaryl has at least one N-oxide group,     -   D stands for a nitrogen atom or for the group C—R³,     -   E stands for a nitrogen atom or for the group C—R⁴,     -   F stands for a nitrogen atom or for the group C—R⁵,     -   G stands for a nitrogen atom or for the group C—R⁶, whereby     -   R³, R⁴, R⁵ and R⁶ stand for hydrogen, halogen, or C₁-C₆-alkoxy,         C₁-C₆-alkyl or C₁-C₆-carboxyalkyl that is unsubstituted or that         is optionally substituted in one or more places with halogen,     -   R⁷ stands for hydrogen or C₁-C₆-alkyl or forms a bridge with up         to 3 ring members with R_(a)-R_(f) from Z or to form R¹,     -   R⁸, R⁹, R¹⁰ and R¹¹ stand for hydrogen or C₁-C₆-alkyl,     -   R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that         can contain another heteroatom,     -   R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵,     -   R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷,     -   R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, or C₁-C₆-acyl or         form a ring that can contain another heteroatom,     -   R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵,     -   R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷, and     -   u, v, w and p stand for 0-5, as well as isomers and salts         thereof that overcome the above-indicated drawbacks.

The compounds according to the invention prevent a tyrosine phosphorylation or stop persistent angiogenesis and thus the growth and propagation of tumors, whereby they are distinguished in particular by a slighter inhibition of isoforms of Cytochrome P 450 (2C9 and 2C19). The medication with the compounds according to the invention can therefore be carried out risk-free without regard to accompanying administered pharmaceutical agents that are degraded by these isoforms.

If R⁷ forms a bridge to R¹, heterocyclic compounds result to which R¹ is fused. For example, there can be mentioned:

If R_(a), R_(b), R_(c), R_(d), R_(e), R_(f), independently of one another, represent hydrogen or C₁-C₄ alky, Z thus forms an alkyl chain.

If R_(a) and/or R_(b) form a bond with R_(c) and/or R_(d), or R_(c) and/or R_(d) form a bond with R_(e) and/or R_(f), Z stands for an alkenyl or alkinyl chain.

If R_(a)-R_(f) form a bridge on their own, Z represents a cycloalkyl group or a cycloalkenyl group.

If up to two of radicals R_(a)-R_(f) form a bridge with up to 3 C atoms to form R¹, Z together with R¹ is a benzocondensed or hetaryl-condensed (Ar) cycloalkyl. For example, there can be mentioned:

If one of radicals R_(a)-R_(f) closes a bridge to form R⁷, a nitrogen heterocyclic compound is formed that can be separated from R¹ by a group. For example, there can be mentioned:

Alkyl is defined in each case as a straight-chain or branched alkyl radical, such as, for example, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, pentyl, isopentyl, or hexyl, heptyl, octyl, nonyl, decyl, undecyl, or dodecyl.

Alkoxy is defined in each case as a straight-chain or branched alkoxy radical, such as, for example, methyloxy, ethyloxy, propyloxy, isopropyloxy, butyloxy, isobutyloxy, sec-butyloxy, pentyloxy, isopentyloxy, hexyloxy, heptyloxy, octyloxy, nonyloxy, decyloxy, undecyloxy or dodecyloxy.

Cycloalkyls are defined as monocyclic alkyl rings, such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, or cycloheptyl, cyclooctyl, cyclononyl or cyclodecyl, but also bicyclic rings or tricyclic rings, such as, for example, adamantanyl.

Cycloalkenyl is defined in each case as cyclobutenyl, cylopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl, cyclononenyl or cyclodecenyl, whereby the linkage can be carried out both to the double bond and to the single bonds.

Halogen is defined in each case as fluorine, chlorine, bromine or iodine.

Alkenyl is defined in each case as a straight-chain or branched alkenyl radical that contains 2-6, preferably 2-4, C atoms. For example, the following radicals can be mentioned: vinyl, propen-1-yl, propen-2-yl, but-1-en-1-yl, but-1-en-2-yl, but-2-en-1-yl, but-2-en-2-yl, 2-methyl-prop-2-en-1-yl, 2-methyl-prop-1-en-1-yl, but-1-en-3-yl, but-3-en-1-yl, and allyl.

The aryl radical in each case has 6-12 carbon atoms, such as, for example, naphthyl, biphenyl and especially phenyl.

The hetaryl radical in each case comprises 3-16 ring atoms, and instead of the carbon can contain one or more heteroatoms that are the same or different, such as oxygen, nitrogen or sulfur, in the ring, and can be monocyclic, bicyclic, or tricyclic, and in addition in each case can be benzocondensed.

For example, there can be mentioned:

Thienyl, furanyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, oxadiazolyl, triazolyl, thiadiazolyl, etc., and benzo derivatives thereof, such as, e.g., benzofuranyl, benzothienyl, benzoxazolyl, benzimidazolyl, indazolyl, indolyl, isoindolyl, etc.; or pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, triazinyl, etc., and benzo derivatives thereof, such as, e.g., quinolyl, isoquinolyl, etc.; azocinyl, indolizinyl, benzimidazolyl, purinyl, etc., and benzo derivatives thereof; or cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, naphthyridinyl, pteridinyl, carbazolyl, acridinyl, phenazinyl, phenothiazinyl, phenoxazinyl, xanthenyl, or oxepinyl, etc.

The aryl radical and the hetaryl radical in each case can be substituted in the same way or differently in 1, 2 or 3 places with hydroxy, halogen, C₁-C₄-alkoxy, with C₁-C₄-alkyl or C₁-C₄-alkyl that is substituted in one or more places with halogen, whereby hetaryl radical R² must contain at least one nitrile group.

N-oxides from aromatic hetarylene are defined as N-oxides that have at least one nitrogen atom in the ring or in the rings, and said nitrogen atom is oxidized.

If several nitrogen atoms are contained in the ring or in the rings, a nitrogen atom that is contained in the ring or rings, several nitrogen atoms that are contained in the ring or in the rings or all nitrogen atoms that are contained in the ring or in the rings can be oxidized to form N-oxides.

For example, the following N-oxides can be mentioned:

If an acid group is included, the physiologically compatible salts of organic and inorganic bases are suitable as salts, such as, for example, the readily soluble alkali salts and alkaline-earth salts as well as N-methyl-glucamine, dimethyl-glucamine, ethyl-glucamine, lysine, 1,6-hexadiamine, ethanolamine, glucosamine, sarcosine, serinol, tris-hydroxy-methyl-amino-methane, aminopropanediol, Sovak base, and 1-amino-2,3,4-butanetriol.

If a basic group is included, the physiologically compatible salts of organic and inorganic acids are suitable, such as hydrochloric acid, sulfuric acid, phosphoric acid, citric acid, tartaric acid, fumaric acid, i.a.

The compounds of general formula I according to the invention also contain the possible tautomeric forms and comprise the E-isomers or Z-isomers, or, if a chiral center is present, also the racemates and enantiomers.

Those compounds of general formula I in which

-   -   A stands for the group —N(R⁷)—,     -   W stands for oxygen,     -   Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl,     -   X stands for C₁-C₆-alkyl,     -   R¹ stands for branched or unbranched C₁-C₁₂-alkyl or         C₂-C₁₂-alkenyl that is optionally substituted in one or more         places in the same way or differently with halogen, cyano,         hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the         group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl         that is optionally substituted in one or more places in the same         way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy,         C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for aryl or         hetaryl that is optionally substituted in one or more places in         the same way or differently with halogen, cyano,         cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy,         C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or         —R¹⁴,     -   R² stands for unsubstituted hetaryl or for hetaryl that is         optionally substituted in one or more places in the same way or         differently with cyano, halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl,         C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or         —R¹⁹, and said hetaryl has at least one N-oxide group,     -   D stands for the group C—R³,     -   E stands for the group C—R⁴,     -   F stands for the group C—R⁵,     -   G stands for the group C—R⁶, whereby     -   R³, R⁴, R⁵ and R⁶ stand for hydrogen,     -   R⁷ stands for hydrogen or C₁-C₆-alkyl,     -   R⁹ stands for hydrogen or C₁-C₆-alkyl,     -   R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that         can contain another heteroatom,     -   R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵,     -   R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷,     -   R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form         a ring that can contain another heteroatom,     -   R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵,     -   R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷ and     -   u, v, w and p stand for 0-5, as well as isomers and salts         thereof, have proven especially effective.

Those compounds of general formula I in which

-   -   A stands for the group —N(R⁷)—,     -   W stands for oxygen,     -   Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl,     -   X stands for C₁-C₆-alkyl,     -   R¹ stands for branched or unbranched C₁-C₁₂-alkyl or         C₂-C₁₂-alkenyl that is optionally substituted in one or more         places in the same way or differently with halogen, cyano,         hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the         group —NR ¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl         that is optionally substituted in one or more places in the same         way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy,         C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for phenyl or         hetaryl that is optionally substituted in one or more places in         the same way or differently with halogen, cyano,         cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy,         C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or         —R¹⁴,     -   R² stands for unsubstituted hetaryl or for hetaryl that is         optionally substituted in one or more places in the same way or         differently with halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl,         C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or         —R¹⁹, and said hetaryl has at least one N-oxide group,     -   D stands for the group C—R³,     -   E stands for the group C—R⁴,     -   F stands for the group C—R⁵,     -   G stands for the group C—R⁶, whereby     -   R³, R⁴, R⁵ and R⁶ stand for hydrogen,     -   R⁷ stands for hydrogen or C₁-C₆-alkyl,     -   R⁹ stands for hydrogen or C₁-C₆-alkyl,     -   R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form, a ring that         can contain another heteroatom,     -   R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵,     -   R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷,     -   R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form         a ring that can contain another heteroatom,     -   R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵,     -   R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷, and     -   u, v, w and p stand for 0-5, as well as isomers and salts         thereof, are especially effective.

Those compounds of general formula I in which

-   -   A stands for the group —N(R⁷)—,     -   W stands for oxygen,     -   Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl,     -   X stands for C₁-C₆-alkyl,     -   R¹ stands for branched or unbranched C₁-C₁₂-alkyl or         C₂-C₁₂-alkenyl that is optionally substituted in one or more         places in the same way or differently with halogen, cyano,         hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the         group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl         that is optionally substituted in one or more places in the same         way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy,         C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for phenyl,         thiophene, furan, oxazole, thiazole, imidazole, pyrazole,         pyridine, pyrimidine, triazine, quinoline, isoquinoline or the         group         -   that is optionally substituted in one or more places in the             same way or differently with halogen, cyano,             cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy,             C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴,             or —R¹⁴,     -   R² stands for unsubstituted hetaryl or for hetaryl that is         optionally substituted in one or more places in the same way or         differently with halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl,         C₁-C₆-alkoxy, amino, hydroxy and/or with the group         -   —OR¹⁸ or —R¹⁹, and said hetaryl has at least one N-oxide             group,     -   D stands for the group C—R³,     -   E stands for the group C—R⁴,     -   F stands for the group C—R⁵,     -   G stands for the group C—R⁶, whereby     -   R³, R⁴, R⁵ and R⁶ stand for hydrogen,     -   R⁷ stands for hydrogen or C₁-C₆-alkyl,     -   R⁹ stands for hydrogen or C₁-C₆-alkyl,     -   R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that         can contain another heteroatom,     -   R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵,     -   R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷,     -   R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form         a ring that can contain another heteroatom,     -   R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵,     -   R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or         for the group NR¹⁶R¹⁷, and     -   u, v, w and p stand for 0-5, as well as isomers and salts         thereof, are quite especially effective.

Of those compounds of general formula I, the following, in which

-   -   A stands for the group —N(R)—,     -   W stands for oxygen,     -   Z stands for a bond,     -   X stands for C₁-C₆-alkyl,     -   R¹ stands for phenyl, imidazolyl, quinolinyl, isoquinolinyl or         the group         -   that is optionally substituted in one or more places in the             same way or differently with cyano-C₁-C₆-alkyl, hydroxy,             C₁-C₆-alkyloxy, halo-C₁-C₆-alkyl or with the group ═O,     -   R² stands for unsubstituted pyridyl or for pyridyl that is         optionally substituted in one or more places with halogen, and         said pyridyl has at least one_N-oxide group,     -   D stands for the group C—R³,     -   E stands for the group C—R⁴,     -   F stands for the group C—R⁵,     -   G stands for the group C—R⁶, whereby     -   R³, R⁴, R¹ and R⁶ stand for hydrogen,     -   R⁷ stands for hydrogen, and     -   R⁹ stands for hydrogen, as well as isomers and salts thereof,         are quite especially effective.

The compounds of formula I as well as their physiologically compatible salts can be used as pharmaceutical agents based on their inhibitory activity relative to the phosphorylation of the VEGF receptor. Based on their profile of action, the compounds according to the invention are suitable for treating diseases that are caused or promoted by persistent angiogenesis.

Since the compounds of formula I are identified as inhibitors of the tyrosine kinases KDR and FLT, they are suitable in particular for treating those diseases that are caused by persistent angiogenesis that is triggered via the VEGF receptor or caused or promoted by an increase in vascular permeability.

The subject of this invention is also the use of the compounds according to the invention as inhibitors of the tyrosine kinases KDR and FLT.

Subjects of this invention are thus also pharmaceutical agents for treating tumors or use thereof.

The compounds according to the invention can be used either alone or in a formulation as pharmaceutical agents for treating psoriasis, Kaposi's sarcoma, restenosis, endometriosis, Crohn's disease, Hodgkin's disease, leukemia; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, and for inhibiting the reocclusion of vessels after balloon catheter treatment, in vascular prosthetics or after mechanical devices are used to keep vessels open, such as, e.g., stents, as immunosuppressive agents, for supporting scar-free healing, in senile keratosis and in contact dermatitis.

In treating injuries to nerve tissue, quick scar formation on the injury sites can be prevented with the compounds according to the invention, i.e., scar formation is prevented from occurring before the axons reconnect. A reconstruction of the nerve compounds was thus facilitated.

The formation of ascites in patients can also be suppressed with the compounds according to the invention. VEGF-induced edemas can also be suppressed.

Lymphangiogenesis plays an important role in lymphogenic metastasizing (Karpanen, T. et al., Cancere Res. 2001 Mar. 1, 61(5): 1786-90, Veikkola, T., et al., EMBO J. 2001,Mar. 15; 20(6): 1223-31).

The compounds according to the invention now also show excellent action as VEGFR kinase 3 inhibitors and are therefore also suitable as effective inhibitors of lymphangiogenesis.

By a treatment with the compounds according to the invention, not only a reduction in the size of metastases but also a reduction in the number of metastases is achieved.

Such pharmaceutical agents, their formulations and uses, are also subjects of this invention.

The invention thus also relates to the use of compounds of general formula I for the production of a pharmaceutical agent for use as or for treatment of psoriasis, Kaposi's sarcoma, restenosis, endometriosis, Crohn's disease, Hodgkin's disease, leukemia; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, and for inhibiting the reocclusion of vessels after balloon catheter treatment, in vascular prosthetics or after mechanical devices are used to keep vessels open, such as, e.g., stents, as immunosuppressive agents, for supporting scar-free healing, in senile keratosis and in contact dermatitis.

The formation of ascites in patients can also be suppressed with the compounds according to the invention. VEGF-induced edemas can also be suppressed.

To use the compounds of formula I as pharmaceutical agents, the latter are brought into the form of a pharmaceutical preparation, which in addition to the active ingredient for enteral or parenteral administration contains suitable pharmaceutical, organic or inorganic inert carrier materials, such as, for example, water, gelatin, gum arabic, lactose, starch, magnesium stearate, talc, vegetable oils, polyalkylene glycols, etc. The pharmaceutical preparations can be present in solid form, for example as tablets, coated tablets, suppositories, capsules, or in liquid form, for example as solutions, suspensions or emulsions. They also contain, moreover, adjuvants such as preservatives, stabilizers, wetting agents or emulsifiers, salts for changing osmotic pressure or buffers.

For parenteral administration, especially injection solutions or suspensions, especially aqueous solutions of the active compounds in polyhydroxyethoxylated castor oil, are suitable.

As carrier systems, surface-active adjuvants such as salts of bile acids or animal or plant phospholipids, but also mixtures thereof as well as liposomes or components thereof can also be used.

For oral administration, especially tablets, coated tablets or capsules with talc and/or hydrocarbon vehicles or binders, such as for example, lactose, corn starch or potato starch, are suitable. The administration can also be carried out in liquid form, such as, for example, as juice, to which optionally a sweetener or, if necessary, one or more flavoring substances, is added.

The dosage of the active ingredients can vary depending on the method of administration, age and weight of the patient, type and severity of the disease to be treated and similar factors. The daily dose is 0.5-1000 mg, preferably 50-200 mg, whereby the dose can be given as a single dose to be administered once or divided into 2 or more daily doses.

The above-described formulations and forms for dispensing are also subjects of this invention.

The production of the compounds according to the invention is carried out according to methods that are known in the art. For example, compounds of formula I are obtained, in that

-   -   a) in a compound of general formula II         in which D to G have the meanings that are indicated in general         formula I and A stands for group OR¹³, whereby R¹³ stands for         hydrogen, C₁₋₄-alkyl or C₁₋₆-acyl, first the amine group is         alkylated and then COA is converted into an amide; or the NH₂         group is converted into halogen, A is converted into an amide,         and halogen is converted into the corresponding amine and         optionally a protective group is cleaved off and converted into         an N-oxide,     -   or     -   b) a compound of general formula III         in which D to G have the meanings that are indicated in general         formula I and A stands for halogen or the group OR¹³, whereby         hydrogen, C₁₋₆-alkyl or C₁₋₆-acyl stands for R¹³, COA is         converted into an amide, the nitro group is reduced to amine and         then alkylated, and optionally a heterocyclic compound is         converted into an N-oxide, or     -   c) a compound of general formula IV         in which D to G have the meanings that are indicated in general         formula I, and K stands for hydroxy or halogen, and A stands for         halogen or for the group OR³, whereby R¹³ can stand for         hydrogen, C₁₋₆-alkyl, or C₁₋₆-acyl, K is converted into an         amine, COA is converted into an amide, if K stands for hydroxy,         it is converted into halogen, and then the process is continued         as above, or     -   d) a compound of general formula-V is first alkylated and then         the anhydride is converted into the amide.

The sequence of process steps can be interchanged in all cases.

The amide formation is carried out according to methods that are known in the literature.

For amide formation, it is possible to start from a corresponding ester. The ester is reacted according to J. Org. Chem. 1995, 8414 with aluminum trimethyl or according to Tetr. Lett. 38, 2685, (1997) with dimethylammonium chloride or solvents such as methylene chloride, preferably at room temperature, or according to Synlett, 1997, 277, with methylammoxane (MAO) in solvents, such as methylene chloride or toluene or mixtures thereof at room temperature to boiling temperature and the corresponding amine in solvents. If the molecule contains two ester groups, both are converted into the same amide; For example, an acid-amine can also be reacted according to J. Org. Chem. 61, 4196 (1996) with catalytic amounts of 3,4,5-trifluorophenylboronic acid in solvents such as toluene or mesitylene with water being separated off.

When nitrites are used instead of ester, amidines are obtained under analogous conditions.

For amide formation, however, all processes that are known from peptide chemistry are also available. For example, the corresponding acid can be reacted with the amine in aprotic polar solvents, such as, for example, dimethylformamide, via an activated acid derivative, obtainable, for example, with hydroxybenzotriazole and a carbodiimide, such as, for example, diisopropylcarbodiimide, or else with preformed reagents, such as, for example, HATU (Chem. Comm. 1994, 201) or BTU, at temperatures of between 0° C. and the boiling point of the solvent. For the amide formation, the process can also be used with the mixed acid anhydride, the acid chloride, the imidazolide or the azide. With reactions of the acid chloride, dimethylacetamide is preferred as solvent at temperatures from room temperature up to the boiling point of the solvent, preferably at 80-100° C.

If various amide groups are to be introduced into the molecule, for example the second ester group must be introduced into the molecule after the production of the first amide group and then amidated, or there is a molecule in which one group is present as an ester, the other is present as an acid, and the two groups are amidated in succession according to various methods.

Thioamides can be obtained from the anthranilamides by reaction with diphosphadithianes according to Bull Soc. Chim. Belg. 87, 229, 1978 or by reaction with phosphorus pentasulfide in solvents such as pyridine or even quite without solvent at temperatures of 0° C. to 200° C.

The reduction in the nitro group is performed in polar solvents at room temperature or elevated temperature. As catalysts for the reduction, metals such as Raney nickel or noble-metal catalysts such as palladium or platinum or else palladium hydroxide optionally on vehicles are suitable. Instead of hydrogen, for example, ammonium formate, cyclohexene or hydrazine can also be used in a known way. Reducing agents such as tin(II) chloride or titanium(III) chloride can also be used, such as complex metal hydrides, optionally in the presence of heavy metal salts. Iron can also be used as a reducing agent. The reaction is then performed in the presence of an acid, such as, e.g., acetic acid or ammonium chloride, optionally with the addition of a solvent, such as, for example, water, methanol, iron/ammonia, etc. With an extended reaction time, an acylation of the amino group can occur in this variant.

If an alkylation of an amino group is desired, the amine can be subjected to reductive alkylation with aldehydes or ketones, whereby the reaction is performed in the presence of a reducing agent, such as, for example, sodium cyanoborohydride in a suitable inert solvent, such as, for example, ethanol, at temperatures of 0° C. up to the boiling point of the solvent. If a start is made from a primary amino group, the reaction can be performed optionally in succession with two different carbonyl compounds, whereby mixed derivatives are obtained [literature, e.g., Verardo et al. Synthesis (1993), 121; Synthesis (1991), 447; Kawaguchi, Synthesis (1985), 701; Micovic et al. Synthesis (1991), 1043]. It can be advantageous first to form the Schiff base by reaction of the aldehyde with the amine in solvents such as ethanol or methanol, optionally with the addition of adjuvants such as glacial acetic acid, and then to add only reducing agents, such as, e.g., sodium cyanoborohydride. An N-oxide withstands these reaction conditions.

An alkylation thus also can be achieved in that the reaction is performed according to the Mitsonubo variant with an alcohol in the presence of, for example, triphenylphosphine and azodicarboxylic acid ester. An alkylation of the amino group can also be carried out, however, by alkylating agents such as halides, tosylates, mesylates or triflates. As solvents, for example, polar solvents such as ethanol, tetrahydrofuran, acetonitrile or dimethylformamide are suitable. The addition of an auxiliary base such as triethylamine, DABCO pyridine or potassium carbonate can be advantageous.

Since the danger of a double alkylation exists in the case of a free amino group, isatoic acid anhydride can advantageously be used. With bases such as sodium hydride or else cesium carbonate in solvents such as tetrahydrofuran or dimethylformamide at temperatures of between room temperature and the boiling point of the solvent, preferably at 60° C., it can be converted into the anion that is then further reacted with the alkylating agent.

Ether cleavages are performed according to processes that are common in the literature. In this case, a selective cleavage can be achieved even in the case of several groups that are present in the molecule. In this case, the ether is treated with, for example, boron tribromide in solvents such as dichloromethane at temperatures of between −100° C. up to the boiling point of the solvent, preferably at −78° C. It is also possible, however, to cleave the ether by sodium thiomethylate in solvents such as dimethylformamide. The temperature can be between room temperature and the boiling point of the solvent, preferably at 150° C. In the case of benzyl ethers, the cleavage can also be accomplished with strong acids, such as, for example, trifluoroacetic acid at temperatures from room temperature to boiling point.

The conversion of a hydroxy group, which is in ortho-position or para-position in a nitrogen of a 6-ring hetaryl, into halogen can be performed, for example, by reaction with inorganic acid halides, such as, for example, phosphorus oxychloride, optionally in an inert solvent, at temperatures up to the boiling point of the solvent or the acid halide.

The substitution of a halogen, tosylate, triflate or nonaflate, which is in ortho-position or para-position in a nitrogen in a 6-membered heteroaromatic compound, can be accomplished by reaction with a corresponding amine in inert solvents, such as, for example, xylene, or in polar solvents, such as N-methylpyrrolidone or dimethylacetamide at temperatures of 60-170° C. Heating is also possible without solvent, however. The addition of an auxiliary base such as potassium carbonate or cesium carbonate or the addition of copper and/or copper oxide can be advantageous. In the case of non-activated halogens or triflates, a palladium-catalyzed introduction of the amine portion is possible according to J. Org. Chem. 2000, 1158. As a base, preferably sodium-t-butylate is used; as an auxiliary ligand, a biphenylphosphine is used.

The introduction of the halogens chlorine, bromine or iodine via an amino group can be carried out, for example, also according to Sandmeyer by the diazonium salts that are intermediately formed with nitrites being reacted with copper(I) chloride or copper(I) bromide in the presence of the corresponding acid, such as hydrochloric acid or hydrobromic acid or with potassium iodide.

If an organic nitrite is used, the halogens can be introduced into a solvent, such as, for example, dimethylformamide, e.g., by adding methylene iodide or tetrabromomethane. The removal of the amino group can be achieved either by reaction with an organic nitrite in tetrahydrofuran or by diazotization and reductive boiling-down of the diazonium salt with, for example, phosphorous acid, optionally with the addition of copper(I) oxide.

The introduction of fluorine can be accomplished, for example, by Balz-Schiemann reaction of the diazonium tetrafluoroborate or according to J. Fluor. Chem. 76, 1996, 59-62 by diazotization in the presence of HFxpyridine and subsequent boiling-down optionally in the presence of a fluoride ion source, such as, e.g., tetrabutylammonium fluoride.

The cleavage of the t-butoxycarbonyl group is carried out, of course, in that in a solvent such as tetrahydrofuran, dioxane or ethanol, the reaction is performed with an acid such as, e.g., 1N hydrochloric acid at temperatures of between room temperature and the boiling point of the solvent. It is also possible to cleave the t-BOC group with strong acids, such as trifluoroacetic acid, at temperatures of between −20° C. up to the boiling point, preferably at room temperature. A solvent such as methylene chloride is not absolutely necessary but can be advantageous.

The acylation of an amine is carried out in a known way, either according to the process that is described under amide formation or by reaction with activated acid derivatives, such as, for example, acid chloride or acid anhydride in solvents such as methylene chloride, acetonitrile or tetrahydrofuran, optionally in the presence of bases such as triethylamine. An addition of catalytic amounts of dimethylaminopyridine can be advantageous.

The N-oxidation can be carried out according to processes that are known in the literature by oxidation with oxidizing agents, such as, for example, m-chloroperbenzoic acid or magnesium monoperoxyphthalate. As solvents, for example, methylene chloride can be used at temperatures of 0° C. up to the boiling point of the solvent. As a reagent, intermediately produced dimethyl- or methyl-trifluoromethyldioxiram can also be used in solvents such as acetonitrile at temperatures of 0° C. up to the boiling point of the solvent.

The isomer mixtures can be separated into enantiomers or E/Z isomers according to commonly used methods, such as, for example, crystallization, any form of chromatography or salt formation.

The production of the salts is carried out in the usual way by a solution of the compound of formula I being mixed with the equivalent amount or an excess of a base or acid, which optionally is in solution, and the precipitate being separated or the solution being worked up in the usual way.

The following examples explain the production of the compounds according to the invention without the scope of the claimed compounds being limited to these examples.

Example 1

(Process Variant A)

N-(Isoquinolin-3-yl)-2-(4-pyridylmethyl)aminobenzoic acid amide-N-oxide

1.05 g (4 mmol) of N-(isoquinolin-3-yl)benzoic acid amide is mixed in 48 ml of methanol with 788 mg (6.4 mmol) of 4-pyridine carbaldehyde-N-oxide and with 0.24 ml of glacial acetic acid, and it is stirred for 24 hours at room temperature. 404 mg of sodium cyanoborohydride is then added to this solution in portions, and it is stirred for another 5 hours at room temperature. After standing overnight, it is mixed with 50 ml of dilute sodium bicarbonate solution and shaken out three times with 50 ml each of ethyl acetate. The collected organic phase is washed with water, dried, filtered and concentrated by evaporation. The residue is absorptively precipitated in a little ethyl acetate and suctioned off. 1.05 g (71% of theory) of N-(isoquinolin-3-yl)-2-(4-pyridylmethyl)aminobenzoic acid amide-N-oxide with a melting point of 212.2° C. is obtained.

Process Variant B

N-(Isoquinolin-3-yl)-2-(4-pyridylmethyl)aminobenzoic acid amide-N-oxide

212 mg (0.6 mmol) of N-(isoquinolin-3-yl)-2-(4-pyridylmethyl)aminobenzoic acid amide is mixed in 10 ml of dichloromethane with 103 mg (0.6 mmol) of m-chloroperbenzoic acid, and it is stirred for 6 hours at room temperature in a moisture-free environment and under argon. The batch is then washed with 15 ml of saturated sodium bicarbonate solution and with saturated common salt solution, dried, filtered and concentrated by evaporation. The residue is chromatographed on silica gel with methylene chloride:ethanol=10:1 as an eluant. 68 mg (30% of theory) of N-(isoquinolin-3-yl)-2-(4-pyridylmethyl)aminobenzoic acid amide-N-oxide with a melting point of 212.2° C. is obtained.

Similarly produced are:

Example Melting Point No. X R² Z—R¹ (° C.) 2 —CH₂—

191.9 3 —CH₂—

246.9 4 —CH₂—

181-184 5 —CH₂—

MS: 382 (M⁺ − O, 100%) 6 —CH₂—

193.6

Example Melting Point No. X R² Z—R¹ (° C.) 7 —CH₂—

196.2 8 —CH₂—

MS (ES): 430 (M⁺ + MeCN + H, 30%), 389 (M⁺ + H, 100%), 236 (20%)

If the production of the intermediate compounds is not described, the latter are known or can be produced analogously to the known compounds or the processes that are described here.

The sample applications below explain the biological action and the use of the compounds according to the invention without the latter being limited to the examples.

Solutions Required for the Tests

Stock Solutions

Stock solution A: 3 mmol of ATP in water, pH 7.0 (−70° C.)

Stock solution B: g-33P-ATP 1 mCi/100 μl

Stock solution C: poly-(Glu4 Tyr). 10 mg/ml in water

Solution for Dilutions

Substrate solvent: 10 mmol of DTT, 10 mmol of manganese chloride, 100 mmol of magnesium chloride

Enzyme solution: 120 mmol of tris/HCl, pH 7.5, 10 μM of sodium vanadium oxide

Sample Application 1

Inhibition of the KDR- and FLT-1 Kinase Activity in the Presence of the Compounds

According to the Invention

In a microtiter plate (without protein binding) that tapers to a point, 10 μl of substrate mix (10 μl of volume of ATP stock solution A+25 μCi of g-33P-ATP (about 2.5 μl of stock solution B)+30 μl of poly-(Glu4Tyr) stock solution C+1.21 ml of substrate solvent), 10 μl of inhibitor solution (substances corresponding to the dilutions, 3% DMSO in substrate solvent as a control) and 10 μl of enzyme solution (11.25 μg of enzyme stock solution (KDR or FLT-1 kinase) are added at 4° C. in 1.25 ml of enzyme solution (dilute). It is thoroughly mixed and incubated for 10 minutes at room temperature. Then, 10 μl of stop solution (250 mmol of EDTA, pH 7.0) is added, mixed, and 10 μl of the solution is transferred to a P 81 phosphocellulose filter. Then, it is washed several times in 0.1 M phosphoric acid. The filter paper is dried, coated with Meltilex and measured in a microbeta counter.

The IC50 values are determined from the inhibitor concentration, which is necessary to inhibit the phosphate incorporation to 50% of the uninhibited incorporation after removal of the blank reading (EDTA-stopped reaction).

The results of the kinase inhibition IC50 in μM are presented in the table below: Example No. VEGFR II (KDR) [μM] 1 0.03 2 0.2 4 0.05 5 0.4 7 0.05 8 0.05 Cytochrome P450 Inhibition

The Cytochrome P450 inhibition was performed according to the publication of Crespi et al. (Anal Biochem., 248, 188-190 (1997)) with use of baculovirus/insect cell-expressed, human Cytochrome P 450 isoenzymes (1A2, 2C9, 2C19, 2D6, 3A4).

The results presented in the following table.

Inhibition of the Cytochrome P450 Isoenzymes (IC50, 1M) Cytochrome 1A2 2C9 2C19 2D6 3A4 P450 Isoenzyme Example 5.2 0.2 0.05 >30 3.6 2.54 of WO 00/27819 Example 1 >30 5.2 3.6 >30 >30

The superior action of the compounds according to the invention compared to the known compounds can be seen clearly from the result. 

1. Compounds of general formula I

in which A stands for the group —N(R⁷)—, W stands for oxygen, sulfur, two hydrogen atoms or the group —N(R⁸)—, Z stands for a bond, the group —N(R¹⁰)— or ═N—, for branched or unbranched C₁-C₁₂-alkyl or for the group

m, n and o stand for 0-3, R_(a), R_(b), R_(c), R_(d), R_(e), R_(f), independently of one another, stand for hydrogen, fluorine, C₁-C₄-alkyl or the group —N(R¹¹)—, and/or R_(a) and/or R_(b) can form a bond with R_(c) and/or R_(d) or R_(c) can form a bond with R_(e) and/or R_(f), or up to two of radicals R_(a)-R_(f) can close a bridge with up to 3 C atoms each to form R¹ or to form R⁷, X stands for C₁-C₆-alkyl, R¹ stands for branched or unbranched C₁-C₁₂-alkyl or C₂-C₁₂-alkenyl that is optionally substituted in one or more places in the same way or differently with halogen, hydroxy, cyano, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl that is optionally substituted in one or more places in the same way or differently with halogen, hydroxy, cyano, C₁-C₆-alkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for aryl or hetaryl that is optionally substituted in one or more places in the same way or differently with halogen, hydroxy, cyano, cyano-C₁-C₆-alkyl, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or —R¹⁴, R² stands for unsubstituted hetaryl or for hetaryl that is optionally substituted in one or more places in the same way or differently with cyano, halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl, C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or —R¹⁹, and said hetaryl has at least one N-oxide group, D stands for a nitrogen atom or for the group C—R³, E stands for a nitrogen atom or for the group C—R⁴, F stands for a nitrogen atom or for the group C—R⁵, G stands for a nitrogen atom or for the group C—R⁶, whereby R³, R⁴, R⁵ and R⁶ stand for hydrogen, halogen, or C₁-C₆-alkoxy, C₁-C₆-alkyl or C₁-C₆-carboxyalkyl that is unsubstituted or that is optionally substituted in one or more places with halogen, R⁷ stands for hydrogen or C₁-C₆-alkyl or forms a bridge with up to 3 ring members with R_(a)-R_(f) from Z or to form R¹, R⁸, R⁹, R¹⁰ and R¹¹ stand for hydrogen or C₁-C₆-alkyl, R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that can contain another heteroatom, R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵, R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form a ring that can contain another heteroatom, R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵, R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, and u, v, w and p stand for 0-5, as well as isomers and salts thereof.
 2. Compounds of general formula I, according to claim 1, in which A stands for the group —N(R⁷)—, W stands for oxygen, Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl, X stands for C₁-C₆-alkyl, R¹ stands for branched or unbranched C₁-C₁₂-alkyl or C₂-C₁₂-alkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for aryl or hetaryl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or —R¹⁴, R² stands for unsubstituted hetaryl or for hetaryl that is optionally substituted in one or more places in the same way or differently with cyano, halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl, C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or —R¹⁹, and said hetaryl has at least one N-oxide group, D stands for the group C—R³, E stands for the group C—R⁴, F stands for the group C—R⁵, G stands for the group C—R⁶, whereby R³, R⁴, R⁵ and R⁶ stand for hydrogen, R⁷ stands for hydrogen or C₁-C₆-alkyl, R⁹ stands for hydrogen or C₁-C₆-alkyl, R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that can contain another heteroatom, R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵, R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form a ring that can contain another heteroatom, R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵, R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, and u, v, w and p stand for 0-5, as well as isomers and salts thereof.
 3. Compounds of general formula I, according claim 1, in which A stands for the group —N(R⁷)—, W stands for oxygen, Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl, X stands for C₁-C₆-alkyl, R¹ stands for branched or unbranched C₁-C₁₂-alkyl or C₂-C₁₂-alkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for phenyl or hetaryl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or —R¹⁴, R² stands for unsubstituted hetaryl or for hetaryl that is optionally substituted in one or more places in the same way or differently with halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl, C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or —R¹⁹, and said hetaryl has at least one N-oxide group, D stands for the group C—R³, E stands for the group C—R⁴, F stands for the group C—R⁵, G stands for the group C—R⁶, whereby R³, R⁴, R⁵ and R⁶ stand for hydrogen, R⁷ stands for hydrogen or C₁-C₆-alkyl, R⁹ stands for hydrogen or C₁-C₆-alkyl, R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that can contain another heteroatom, R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(n)—R⁵, R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form a ring that can contain another heteroatom, R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵, R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, and u, v, w and p stand for 0-5, as well as isomers and salts thereof.
 4. Compounds of general formula I, according to claim 1, in which A stands for the group —N(R⁷)—, W stands for oxygen, Z stands for a bond or for branched or unbranched C₁-C₁₂-alkyl, X stands for C₁-C₆-alkyl, R¹ stands for branched or unbranched C₁-C₁₂-alkyl or C₂-C₁₂-alkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for C₃-C₁₀-cycloalkyl or C₃-C₁₀-cycloalkenyl that is optionally substituted in one or more places in the same way or differently with halogen, cyano, hydroxy, C₁-C₆-alkyloxy, C₁-C₆-alkyl and/or with the group —NR¹²R¹³; or for phenyl, thiophene, furan, oxazole, thiazole, imidazole, pyrazole, pyridine, pyrimidine, triazine, quinoline, isoquinoline or the group

that is optionally substituted in one or more places in the same way or differently with halogen, cyano, cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, aralkyloxy, C₁-C₆-alkyl, halo-C₁-C₆-alkyl or with the group ═O, —OR¹⁴, or —R¹⁴, R² stands for unsubstituted hetaryl or for hetaryl that is optionally substituted in one or more places in the same way or differently with halogen, C₁-C₆-alkyl, halo-C₁-C₆-alkyl, C₁-C₆-alkoxy, amino, hydroxy and/or with the group —OR¹⁸ or —R¹⁹, and said hetaryl has at least one N-oxide group, D stands for the group C—R³, E stands for the group C—R⁴, F stands for the group C—R⁵, G stands for the group C—R⁶, whereby R³, R⁴, R⁵ and R⁶ stand for hydrogen, R⁷ stands for hydrogen or C₁-C₆-alkyl, R⁹ stands for hydrogen or C₁-C₆-alkyl, R¹² and R¹³ stand for hydrogen, C₁-C₆-alkyl or form a ring that can contain another heteroatom, R¹⁴ stands for the group (CH₂—CH₂—O)_(u)(CH₂)_(v)—R¹⁵, R¹⁵ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, R¹⁶ and R¹⁷ stand for hydrogen, C₁-C₆-alkyl, C₁-C₆-acyl or form a ring that can contain another heteroatom, R¹⁸ stands for the group (CH₂—CH₂—O)_(w)(CH₂)_(p)—R¹⁵, R¹⁹ stands for aryl, hetaryl, C₁-C₆-alkyl, aralkyl, —CH₂CN or for the group NR¹⁶R¹⁷, and u, v, w and p stand for 0-5, as well as isomers and salts thereof.
 5. Compounds of general formula I, according to claim 1, in which A stands for the group —N(R⁷)—, W stands for oxygen, Z stands for a bond, X stands for C₁-C₆-alkyl, R¹ stands for phenyl, imidazolyl, quinolinyl, isoquinolinyl or the group

that is optionally substituted in one or more places in the same way or differently with cyano-C₁-C₆-alkyl, hydroxy, C₁-C₆-alkyloxy, halo-C₁-C₆-alkyl or with the group ═O, R² stands for unsubstituted pyridyl or for pyridyl that is optionally substituted in one or more places with halogen, and said pyridyl has at least one N-oxide group, D stands for the group C—R³, E stands for the group C—R⁴, F stands for the group C—R⁵, G stands for the group C—R⁶, whereby R³, R⁴, R⁵ and R⁶ stand for hydrogen, R⁷ stands for hydrogen, and R⁹ stands for hydrogen, as well as isomers and salts thereof.
 6. Pharmaceutical agents that contain at least one compound according to claim
 1. 7. Pharmaceutical agents according to claim 6, for use in the case of psoriasis, Kaposi's sarcoma, restenosis, endometriosis, Crohn's disease, Hodgkin's disease, leukemia; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, inhibition of the reocclusion of vessels after balloon catheter treatment, vascular prosthetics or use of mechanical devices to keep vessels open, such as, e.g., stents, and as immunosuppressive agents, and for supporting scar-free healing, in senile keratosis and in contact dermatitis.
 8. Compounds according to claim 1, with suitable formulation substances and vehicles.
 9. Use of the compounds of formula I, according to claim 1, as inhibitors of the tyrosine kinases KDR and FLT.
 10. Use of the compounds of general formula I, according to claim 1, in the form of a pharmaceutical preparation for enteral, parenteral and oral administration.
 11. Use of the compounds according to claims 1 to 5 claim 1 in the case of psoriasis, Kaposi's sarcoma, restenosis, endometriosis, Crohn's disease, Hodgkin's disease, leukemia; arthritis, such as rheumatoid arthritis, hemangioma, angiofibroma; eye diseases, such as diabetic retinopathy, neovascular glaucoma; renal diseases, such as glomerulonephritis, diabetic nephropathy, malignant nephrosclerosis, thrombic microangiopathic syndrome, transplant rejections and glomerulopathy; fibrotic diseases, such as cirrhosis of the liver, mesangial cell proliferative diseases, arteriosclerosis, injuries to nerve tissue, and for inhibiting the reocclusion of vessels after balloon catheter treatment, in vascular prosthetics or after mechanical devices are used to keep vessels open, such as, e.g., stents, and as immunosuppressive agents, and for supporting scar-free healing, and in senile keratosis and in contact dermatitis.
 12. Use of the compounds of general formula I, according to claim 1, as VEGFR kinase 3 inhibitors of lymphangiogenesis. 